2024-11-13T21:56:29-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2023-01-01 272843521 SOUTH NASSAU COMMUNITIES HOSPITAL SOUT 5162551500 ONE HEALTHY WAY OCEANSIDE NY 115721551 JOHN POHLMAN COO/CFO 5162551500 2024-11-13 1 0 ANGELA MOORE P00244342 3174648600 2023 2024-10-15 13:58:12Z JOHN POHLMAN ONE HEALTHY WAY OCEANSIDE NY 115721551 64438780 1 1 5611 X WWW.SOUTHNASSAU.ORG X 1927 NY THE MISSION OF SOUTH NASSAU COMMUNITIES HOSPITAL'S AFFILIATES ("THE AFFILIATES") IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTH CARE TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION IN SUPPORT OF THE HOSPITAL'S MISSION. 32 31 234 0 380138 0 430363 550501 92481873 62664654 33680 24 1332854 1223601 94278770 64438780 0 0 0 0 56751112 42722602 0 0 0 37599096 18410963 94350208 61133565 -71438 3305215 39820947 36260695 40322728 36871552 -501781 -610857 X THE MISSION OF SOUTH NASSAU COMMUNITIES HOSPITAL'S AFFILIATES ("THE AFFILIATES") IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND EASILY ACCESSIBLE HEALTH CARE TO ALL RESIDENTS OF THE SOUTH SHORE COMMUNITIES IN A MANNER THAT REFLECTS A CULTURE OF EXCELLENCE, PERSONALIZED, CULTURALLY COMPETENT CARE AND INNOVATION IN SUPPORT OF THE HOSPITAL'S MISSION. 0 0 14900847 14743653 SOUTH NASSAU MEDICAL GROUP IS COMPRISED OF SEVERAL PHYSICIAN OFFICES PROVIDING THE FOLLOWING SERVICES: PRIMARY CARE, OB/GYN, RADIOLOGY, CARDIOVASCULAR. DURING 2023 THE OFFICES EXPERIENCED 66,681 VISITS. 9763617 11575042 MS MARATHON MEDICAL IS COMPRISED OF SEVERAL PHYSICIAN OFFICES PROVIDING THE FOLLOWING SERVICES: INTERNAL MEDICINE, UROLOGY, GASTROENTEROLOGY, ENDOCRINOLOGY. DURING 2023 THE OFFICES EXPERIENCED 19,692 VISITS. 15463160 9115506 SOUTH NASSAU PHYSICIAN GROUP IS REPRESENTED BY THE EMERGENCY ROOM PHYSICIANS IN OCEANSIDE. IN 2023 THERE WERE 56,211 VISITS. 20384698 27276560 PRIMARY MEDICAL CARE SERVICES ARE PROVIDED BY SEVERAL PCS WITHIN THE SOUTH NASSAU COMMUNITIES HOSPITAL GROUP. THESE PCS OFFER A COMPREHENSIVE RANGE OF SERVICES TAILORED TO THE INDIVIDUAL NEEDS OF THE PATIENTS, FROM OBSTETRICAL AND GYNECOLOGICAL CARE, TO GERIATRIC AND SOCIAL SERVICES, TO PREVENTIVE MEDICINE AND URGENT HEALTH CARE IN MULTIPLE LOCATIONS IN OCEANSIDE AND LONG BEACH. THE PCS ARE STAFFED BY A GROUP OF SKILLED, EXPERIENCED PHYSICIANS AND NURSES WHO ARE DEVOTED TO THE MISSION OF SNCH. THE PRACTICES STAFF INCLUDE FULL-TIME, BOARD-CERTIFIED FAMILY PHYSICIANS; YOU CAN SEE THE SAME DOCTOR EVERY TIME YOU VISIT. OUR PRACTICE ALSO INCLUDES RESIDENTS OF SOUTH NASSAU'S FULLY ACCREDITED FAMILY PRACTICE RESIDENCY TRAINING PROGRAM, ASSURING UP-TO-DATE STANDARDS WITHIN A CONTINUAL LEARNING ENVIRONMENT. THE CENTER ALSO HAS REGULARLY SCHEDULED VISITS FROM SOUTH NASSAU SPECIALISTS - INCLUDING A CARDIOLOGIST, DIETICIAN, DERMATOLOGIST, PODIATRIST, GASTROENTEROLOGIST, AND SURGEON AND MORE. YOU CAN BE CONFIDENT THAT ANY SPECIALIZED CARE YOU MAY NEED IS AVAILABLE TO YOU, WHEN YOU NEED IT. THESE PCS EXPERIENCED 62,120 VISITS IN 2023. OCEANSIDE COUNSELING CENTER'S ("OCC") MISSION IS TO PROVIDE COMPREHENSIVE, AFFORDABLE, AND ACCESSIBLE ADDICTION TREATMENT. FOR MORE THAN FORTY YEARS, OCC HAS PROVIDED SUPPORTIVE SKILLS-BUILDING ANDREHABILITATIVE SERVICES FOR THE TREATMENT OF ALCOHOL, DRUG AND NICOTINE DEPENDENCE. OCC ALSO PROVIDES TREATMENT SERVICES FOR THOSE SUFFERING FROM BOTH MENTAL ILLNESS AND ADDICTION. OCC PROVIDED 970 COUNSELING SERVICES IN 2023.SOUTH NASSAU OBSTETRICS AND GYNECOLOGY, PC DELIVERS PATIENT-CENTERED GYNECOLOGIC AND REPRODUCTIVE HEALTH CARE SERVICES, PROVIDING A FULL RANGE OF QUALITY MATERNITY SERVICES. THIS PC EXPERIENCED 3,796 VISITS IN 2023.SOUTH NASSAU NEONATAL SERVICES PC'S PHYSICIANS PROVIDE MEDICAL CARE FOR NEWBORN INFANTS, ESPECIALLY ILL OR PREMATURE NEWBORNS. THIS PC EXPERIENCED 134 VISITS IN 2023.SN SERVICES, INC. AND 203 MERRICK ROAD OWN VARIOUS PROPERTIES THAT ARE USED BY THE SOUTH NASSAU COMMUNITIES HOSPITAL AND AFFILIATED ORGANIZATIONS TO SUPPORT THE MISSION OF THE HOSPITAL.ALL SNCH PCS ARE CONTROLLED AND OPERATED BY SOUTH NASSAU COMMUNITIES HOSPITAL.THE HOSPITAL IS SELF-INSURED FOR LOSSES, WHICH MAY ARISE FROM CLAIMS FILED AGAINST IT. PROFESSIONAL AND GENERAL LIABILITY CLAIMS HAVE BEEN ASSERTED AGAINST THE HOSPITAL BY VARIOUS CLAIMANTS. THE CLAIMS ARE IN VARIOUS STAGES OF PROCESSING AND SOME MAY ULTIMATELY BE BROUGHT TO TRIAL. COUNSEL IS UNABLE TO CONCLUDE AS TO THE ULTIMATE OUTCOME OF THE ACTIONS. THERE ARE KNOWN INCIDENTS REPORTED THAT MAY RESULT IN THE ASSERTION OF ADDITIONAL CLAIMS, AND OTHER CLAIMS MAY BE ASSERTED ARISING FROM SERVICES PROVIDED TO PATIENTS IN THE PAST. THE SELF INSURANCE FUND HAS BEEN DISSOLVED DURING 2023. 20384698 27276560 60512322 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 234 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 32 31 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X JOHN POHLMAN 5166324062 ONE HEALTHY WAY OCEANSIDE NY 11572 ANDREW M ALPER TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 ANDREW M SAUL VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 ANTHONY CANCELLIERI CO-CHAIRMAN 1.00 1.00 X 0 0 0 ANTHONY PONTE DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 BRAD S KARP SECRETARY (START 10/23) 1.00 15.00 X X 0 0 0 BUTCH YAMALI DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 DAVID BONAGURA CO-CHAIRMAN (TERM 10/23) 1.00 1.00 X 0 0 0 DAVID WINDREICH TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 DONALD J GOGEL VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 EDGAR M CULLMAN JR TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 EDWARD SCOTT SECRETARY (TERM 10/23) 1.00 1.00 X 0 0 0 ERIC FRIEDMAN TRUSTEE (START 10/23) 1.00 6.00 X 0 0 0 ERIC MINDICH VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 2.00 X X 0 0 0 FRANK BISINGANO TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 GEORGE SCHIEREN DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 JAMES KEMPNER TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 JAMES NEARY CO-CHAIRMAN (START 10/23) 1.00 15.00 X X 0 0 0 JAMES S TISCH VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JEFF T BLAU VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JEFFREY FRISCH DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 JOEL I PICKET VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOEL S EHRENKRANZ VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOEL SCHNEIDER DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 JOHN A LEVIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOHN B HESS VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 JOSEPH FENNESSY DIRECTOR 1.00 1.00 X 0 0 0 JUDITH O RUBIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 KENNETH L DAVIS MD CEO, EXECUTIVE VICE CHAIRMAN 1.00 59.00 X X 0 7199726 96314 KIMBERLY HARRIS TRUSTEE (START 10/23) 1.00 6.00 X 0 0 0 LAURA CURRAN DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 LEWIS PELL TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 LOWELL FREY ASSISTANT SECRETARY (TERM 10/23) 1.00 1.00 X 0 0 0 MARC S LIPSCHULTZ TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 MICHAEL MINIKES VICE CHAIRMAN , TREASURER (START 10/23) 1.00 21.00 X X 0 0 0 MICHAEL SAPRAICONE DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 MICHAEL SCHAMROTH PAST CHAIRMAN (TERM 10/23) 1.00 1.00 X 0 0 0 MICHAEL ZIMMERMAN TRUSTEE (START 10/23) 1.00 3.00 X 0 0 0 NANCY KOOPERSMITH DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 PETER BREITSTONE TREASURER (TERM 10/23) 1.00 1.00 X 0 0 0 RICHARD A FRIEDMAN CO-CHAIRMAN (START 10/23) 1.00 15.00 X X 0 0 0 ROBERT F SAVAGE JR TRUSTEE (START 10/23) 1.00 4.00 X 0 0 0 SALLY VALENTI DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 STEVEN GOLD DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 STEVEN HOCHBERG VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 18.00 X X 0 0 0 SUSAN R CULLMAN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 THOMAS W STRAUSS VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X X 0 0 0 WAYNE LIPTON DIRECTOR (TERM 10/23) 1.00 1.00 X 0 0 0 WILLIAM H WRIGHT II TRUSTEE (START 10/23) 1.00 5.00 X 0 0 0 ADHI SHARMA PRESIDENT & CEO/DIRECTOR 36.50 23.50 X 0 1226563 53263 BETH ESSIG ESQ EVP, GENERAL COUNSEL, ASST. SECR. 1.00 59.00 X 0 1878181 55465 BONNIE M DAVIS MD VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 CARL C ICAHN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 DENNIS S CHARNEY MD PRESIDENT ACADEMIC AFFAIRS 1.00 59.00 X 0 5471287 54392 GLENN DUBIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 HAMILTON E JAMES VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 HENRY R KRAVIS VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 JAMES W CRYSTAL VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 15.00 X 0 0 0 JEFFREY SILBERSTEIN EVP, SYS CAO, ASST. SECR. 1.00 59.00 X 0 1518747 34656 JOHN POHLMAN COO/CFO 36.50 23.50 X 0 638959 93057 KELLY CASSANO DO EVP, SYSTEM AMBULATORY OPERATIONS 1.00 59.00 X 0 1267329 45205 MARGARET PASTUSZKO EVP, PRES HEALTH NETWORK 1.00 59.00 X 0 2423803 69483 ROBERT E RUBIN VICE CHAIRMAN/TRUSTEE (START 10/23) 1.00 2.00 X 0 0 0 STEPHEN HARVEY EVP SYS CHF FIN&CORP SERV 1.00 59.00 X 0 2026048 81824 WILLIAM ALLISON CHIEF OPERATING OFFICER (TERM 7/23) 1.00 36.50 X 0 704383 58235 ALAN GARELY CHAIR OF OBSTETRICS & GYNECOLOGY 15.50 22.00 X 0 1107968 87342 LEESTER WU ASST DIR RADIATION ONC 1.00 36.50 X 0 931809 56980 MATTHEW RIFKIN CHAIRMAN OF RADIOLOGY 18.75 18.75 X 765867 0 75645 RAJIV DATTA PHYSICIAN 19.60 17.90 X 1463610 0 86833 SYDNEY YOON RAD PHYSICIAN 37.50 0.00 X 784716 0 87130 3014193 26394803 1035824 125 0 1 0 0 550501 550501 NEONATAL 621111 15504552 15504552 SN MEDICAL GROUP 621111 14743653 14743653 MS MARATHON MEDICAL 621111 11575042 11575042 SN PRIMARY 621111 9115506 9115506 SN ONCOLOGY 621111 1620552 1620552 10105349 10105349 62664654 24 24 797356 0 797356 797356 797356 EMPLOYEE LEASING 900099 380138 380138 46107 46107 426245 64438780 62710761 380138 797380 34718617 34718617 1290869 1290869 5238374 5238374 1474742 1474742 6030 6030 30 30 5140052 5140052 6096 6096 609087 609087 3513219 3513219 8404 8404 1983581 1983581 1099178 1099178 4676610 4676610 MEDICAL SUPPLIES 933610 933610 EQUIPMENT RENTAL 864447 864447 OTHER -429381 -429381 61133565 60512322 621243 0 8788455 6175826 8750523 9414875 303708 391323 523214 230974 40638052 21667393 20069837 18970659 1385210 1077038 39820947 36260695 5521011 6005550 34801717 30866002 40322728 36871552 X -501781 -610857 -501781 -610857 39820947 36260695 X 3305215 -108524 -3305767 X X 0 1 X 1 0 X SCHEDULE A, PART I, LINE 3: SOUTH NASSAU COMMUNITIES HOSPITAL INCLUDES 19 SUBORDINATE ORGANIZATIONS THAT ARE ALL EXEMPT UNDER SECTION 170(B)(1)(A)(III) AS THEY ARE HEALTH TREATMENT FACILITIES. THESE FACILITIES ARE NOT REQUIRED TO BE LICENSED AS A HOSPITAL BY THE STATE. THEREFORE, SCHEDULE H IS NOT REQUIRED TO BE PREPARED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7909831 7909831 29995916 19031175 10964741 1011378 941389 69989 1720927 1694829 26098 18970659 DUE TO AFFILIATES 30205524 OTHER LIABILITIES 660478 30866002 1 1 0 0 0 0 0 1 0 KENNETH L DAVIS MD CEO, EXECUTIVE VICE CHAIRMAN 0 3796314 0 3403412 0 0 0 33000 0 63314 0 7296040 0 0 DENNIS S CHARNEY MD PRESIDENT ACADEMIC AFFAIRS 0 1154392 0 4316895 0 0 0 33000 0 21392 0 5525679 0 0 MARGARET PASTUSZKO EVP, PRES HEALTH NETWORK 0 1750000 0 673803 0 0 0 33000 0 36483 0 2493286 0 0 STEPHEN HARVEY EVP SYS CHF FIN&CORP SERV 0 1200000 0 826048 0 0 0 33000 0 48824 0 2107872 0 0 BETH ESSIG ESQ EVP, GENERAL COUNSEL, ASST. SECR. 0 1405475 0 472706 0 0 0 33000 0 22465 0 1933646 0 0 JEFFREY SILBERSTEIN EVP, SYS CAO, ASST. SECR. 0 1066656 0 452091 0 0 0 33000 0 1656 0 1553403 0 0 RAJIV DATTA PHYSICIAN 1290510 0 173100 0 0 0 52500 0 34333 0 1550443 0 0 0 KELLY CASSANO DO EVP, SYSTEM AMBULATORY OPERATIONS 0 895205 0 372124 0 0 0 33000 0 12205 0 1312534 0 0 ADHI SHARMA PRESIDENT & CEO/DIRECTOR 0 890483 0 336080 0 0 0 22500 0 30763 0 1279826 0 0 ALAN GARELY CHAIR OF OBSTETRICS & GYNECOLOGY 0 988168 0 119800 0 0 0 52500 0 34842 0 1195310 0 0 LEESTER WU ASST DIR RADIATION ONC 0 721752 0 210057 0 0 0 22500 0 34480 0 988789 0 0 SYDNEY YOON RAD PHYSICIAN 714916 0 69800 0 0 0 52500 0 34630 0 871846 0 0 0 MATTHEW RIFKIN CHAIRMAN OF RADIOLOGY 676048 0 89819 0 0 0 52500 0 23145 0 841512 0 0 0 WILLIAM ALLISON CHIEF OPERATING OFFICER (TERM 7/23) 0 540544 0 162159 0 1680 0 52500 0 5735 0 762618 0 0 JOHN POHLMAN COO/CFO 0 485454 0 147745 0 5760 0 52455 0 40602 0 732016 0 0 PART I, LINE 3 THE HOSPITAL USES THE FOLLOWING METHODS TO DETERMINE CEO COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, WRITTEN EMPLOYMENT CONTRACT (FROM PRIOR EMPLOYER), COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE COMPENSATION COMMITTEE UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICER'S OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED EVERY TWO YEARS BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT RENDERS AN OPINION AS TO WHETHER THE TOTAL PROPOSED COMPENSATION FOR THE OFFICER IS "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICER'S SALARY TO REACH THEIR RECOMMENDATION. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A: WILLIAM ALLISON, FORMER COO, RECEIVED A SEVERANCE IN 2023. SCHEDULE J, PART I, LINE 4B: THE DEAN, DR. DENNIS CHARNEY, WAS THE SOLE PARTICPANT IN THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND WAS PAID OUT HIS ONE TIME SERP PAYMENT OF $3,000,000 IN 2023. THE BENEFITS EARNED UNDER THE SERP ARE DESIGNED TO FUND THE DEAN'S EVENTUAL RETIREMENT. THE DEAN HAS WORKED AT MOUNT SINAI FOR 20 YEARS; 17 YEARS AS DEAN. SENIOR EXECUTIVE POSITIONS, WHO ARE IMPACTED BY LIMITS UNDER THE HOSPITAL'S TAX-QUALIFIED RETIREMENT PLAN THAT DO NOT LIMIT OTHER EMPLOYEES, ALSO HAVE A SUPPLEMENTAL PLAN. THE SUPPLEMENTAL PLAN IS INTENDED ONLY TO MAKE UP FOR SUCH LIMITS AND CONTAINS VESTING SCHEDULES DESIGNED TO RETAIN THE EXECUTIVE UNTIL RETIREMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN IN 2023, WITH THE SUPPLEMENTAL RETIREMENT INCOME INCLUDED IN DEFERRED COMPENSATION IN SCHEDULE J, PART II, BOX C: JOHN POHLMAN - $9,576 DR ALAN WONG- $6,675 PART I, LINE 7 THE HOSPITAL MAINTAINS AN INCENTIVE COMPENSATION PROGRAM THAT PAYS VARIABLE COMPENSATION BASED ON THE SATISFACTION BY THE HOSPITAL AND THE EXECUTIVES OF PREESTABLISHED QUALITY OF CARE, PROGRAM, FINANCIAL AND SIMILAR GOALS ESTABLISHED AT THE BEGINNING OF THE YEAR PRIOR TO PAYMENT. SOME EMPLOYEES RECEIVE ADDITIONAL COMPENSATION BASED ON VARIOUS PRODUCTIVITY MEASURES. AWARDS ARE SET FORTH IN PART II, COLUMN B(II). ADDITIONAL DISCLOSURE THE COMPENSATION REPORTED ON BOTH PART VII AND SCHEDULE J OF THE FORM 990 FOR CERTAIN OFFICERS AND KEY PERSONNEL REPRESENTS AMOUNTS PAID FOR SERVICES RENDERED TO SOUTH NASSAU COMMUNITIES HOSPITAL ("SNCH") AND ITS AFFILIATED ORGANIZATIONS. THE FORM 990 REQUIRES COMPENSATION TO BE REPORTED BASED ON THE ORGANIZATION THAT PROVIDES THE OFFICER HIS OR HER W-2, HOWEVER, REPORTING COMPENSATION IN THIS FASHION DOES NOT TAKE INTO ACCOUNT THE INTEGRATED RELATIONSHIPS WITHIN A HEALTH SYSTEM THAT REQUIRE OFFICERS AND EMPLOYEES TO ALLOCATE THEIR TIME AND SERVICES AMONG MANY ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES EDGAR CULLMAN, JR. AND SUSAN CULLMAN - FAMILY RELATIONSHIP; TRUSTEES MARC LIPSCHULTZ AND JOHN HESS - BUSINESS RELATIONSHIP; OFFICER KENNETH DAVIS, MD AND OFFICER BONNIE DAVIS - FAMILY RELATIONSHIP; TRUSTEES STEVEN HOCHBERG AND JOEL PICKET- BUSINESS RELATIONSHIP; TRUSTEES KIMBERLY HARRIS AND RICHARD FRIEDMAN - BUSINESS RELATIONSHIP; TRUSTEES KIMBERLY HARRIS AND JOHN HESS - BUSINESS RELATIONSHIP; TRUSTEES JOHN HESS AND RICHARD FRIEDMAN - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 SOUTH NASSAU COMMUNITIES HOSPITAL INC. IS THE SOLE MEMBER OF 19 ENTITIES: RADIOLOGICAL ASSOCIATES OF LONG ISLAND, P.C., SN SERVICES CORPORATION, SOUTH NASSAU NEONATAL SERVICES, P.C., SOUTH NASSAU FAMILY MEDICINE, P.C., SOUTH NASSAU PRIMARY MEDICAL CARE, P.C., OCEANSIDE COUNSELING CENTER SOUTH NASSAU PHYSICIAN PRACTICE, P.C., SOUTH NASSAU ONCOLOGY, P.C., SN RADIOLOGICAL PRACTICE, P.C., 203 MERRICK ROAD HOLDING CORP, SOUTH NASSAU CARDIOVASCULAR PRACTICE, P.C., SOUTH NASSAU MEDICAL GROUP, P.C., SOUTH NASSAU OBSTRETRICS AND GYNECOLOGY, P.C., SOUTH NASSAU ONCOLOGY PRACTICE, P.C., SNCH COMMUNITY DEVELOPMENT CORPORATION SOUTH NASSAU PHYSICIANS, P.C., SOUTH NASSAU PHYSICIAN GROUP, PC, SOUTH NASSAU UROLOGY, P.C. THE SYSTEM IS ORGANIZED AS A NOT FOR PROFIT CORPORATION UNDER FEDERAL AND NEW YORK STATE LAWS. FORM 990, PART VI, SECTION A, LINE 7A SOUTH NASSAU COMMUNITIES HOSPITAL, INC. IS THE SOLE MEMBER OF THE SUBORDINATE ORGANIZATIONS REPORTED IN THIS GROUP RETURN. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD HAS THE AUTHORITY (I) ELECT AND REMOVE MEMBERS OF THE TAXPAYER'S GOVERNING BOARD, (II) APPROVE AMENDMENTS TO THE TAXPAYER'S CERTIFICATE OF INCORPORATION AND BYLAWS, AND (III) APPROVE SIGNIFICANT CORPORATE TRANSACTIONS SUCH AS MERGERS. OTHER AUTHORITY INCLUDES: (A) APPROVAL OF THE TAXPAYER'S MISSION AND PHILOSOPHY; (B) ESTABLISHING THE SIZE OF THE TAXPAYER'S GOVERNING BOARD; (C) SELECTION AND REMOVAL OF THE CHAIRPERSON OF THE TAXPAYER'S GOVERNING BOARD; (D) ESTABLISHING CRITERIA FOR EVALUATING PERFORMANCE OF THE TAXPAYER'S CHIEF EXECUTIVE OFFICER; (E) APPROVAL OF THE TAXPAYER'S OPERATING AND CAPITAL BUDGETS AND BUSINESS PLAN; (F) APPROVAL OF THE ESTABLISHMENT OF ANY MATERIAL NEW LINES OF BUSINESS BY THE TAXPAYER THAT IS NOT OTHERWISE CONTEMPLATED WITHIN A PREVIOUSLY APPROVED BUSINESS PLAN OF THE TAXPAYER; (G) INITIATION BY THE TAXPAYER OF A BANKRUPTCY OR INSOLVENCY ACTION; (H) APPROVAL OF THE ISSUANCE OF LONG-TERM DEBT (I) APPROVAL OF LITIGATION SETTLEMENTS INVOLVING THE TAXPAYER THAT EXCEED APPLICABLE COMMERCIAL OR SELF INSURANCE COVERAGE; (J) APPROVAL OF THE SUBMISSION OF ANY CERTIFICATE OF NEED APPLICATIONS BY OR ON BEHALF OF THE TAXPAYER WITH ANY REGULATORY AUTHORITY; (K) APPROVAL OF THE INITIATION BY THE TAXPAYER OF A NEW CLINICAL SERVICE OR THE DISCONTINUANCE OR SUBSTANTIAL CHANGE IN AN EXISTING CLINICAL SERVICE. FORM 990, PART VI, SECTION B, LINE 11B THE AFFILIATES OF SOUTH NASSAU COMMUNITIES HOSPITAL REVIEW AND APPROVE THE IRS FORM 990 ACCORDING TO THE POLICY OF THE PARENT ORGANIZATION, SOUTH NASSAU COMMUNITIES HOSPITAL. AS SUCH, SOUTH NASSAU COMMUNITIES HOSPITAL'S PROCESS IS OUTLINED BELOW: THE AUDIT COMMITTEE, A SUB-COMMITTEE OF THE BOARD OF DIRECTORS, IS ASSIGNED TO REVIEW THE IRS FORM 990 THAT IS FILED ON BEHALF OF THE ORGANIZATION BEFORE IT IS FILED WITH THE IRS. THE AUDIT COMMITTEE WILL NOTIFY THE BOARD OF DIRECTORS WHEN THE IRS FORM 990 IS APPROVED BY THE AUDIT COMMITTEE. ONCE THE 990 IS APPROVED, THE BOARD OF DIRECTORS OF SOUTH NASSAU COMMUNITIES HOSPITAL WILL RECEIVE A COPY (ELECTRONICALLY OR HARDCOPY) BEFORE IT IS ULTIMATELY FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE AFFILIATES OF SOUTH NASSAU COMMUNITIES HOSPITAL'S OFFICERS, DIRECTORS, AND KEY EMPLOYEES OPERATE UNDER THE CONFLICT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, SOUTH NASSAU COMMUNITIES HOSPITAL. THE HOSPITAL ANNUALLY MONITORS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY PROVIDING ANNUAL QUESTIONNAIRES THAT REQUIRE THE OFFICER, DIRECTOR AND/OR KEY EMPLOYEE TO DISCLOSE POTENTIAL CONFLICTS. FOR FURTHER INFORMATION, PLEASE REFER TO THE SOUTH NASSAU COMMUNITIES HOSPITAL FORM 990 FOR THE YEAR ENDING DECEMBER 31, 2023. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION PROCESS FOR TOP OFFICIAL COMPENSATION FOR THE OFFICERS AND OTHER EMPLOYEES IS DETERMINED BY SOUTH NASSAU COMMUNITIES HOSPITAL. PLEASE SEE BELOW FOR PROCEDURES. 15(A) SOUTH NASSAU COMMUNITIES HOSPITAL HAS A COMPENSATION COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS) WHICH DETERMINES THE OFFICERS' COMPENSATION. THE COMPENSATION COMMITTEE, COMPRISED EXCLUSIVELY OF DISINTERESTED DIRECTORS, UTILIZES A VARIETY OF SOURCES IN DETERMINING THE OFFICERS OVERALL COMPENSATION. THESE SOURCES INCLUDE A COMPENSATION STUDY PERFORMED BY AN INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEYS AND THE OFFICERS' HISTORICAL SALARIES. THE COMPENSATION CONSULTANT PERIODICALLY RENDERS AN OPINION THAT THE TOTAL PROPOSED COMPENSATION FOR THE OFFICERS ARE "REASONABLE" WITH RESPECT TO THE INTERNAL REVENUE SERVICE (IRS) INTERMEDIATE SANCTIONS REGULATIONS AND THAT THE SAFE-HARBOR DESCRIBED THEREIN IS SATISFIED. THIS INDEPENDENT CONSULTANT UTILIZES PUBLISHED SURVEYS AND RELEVANT MARKET DATA TO DETERMINE RANGES FOR THE OFFICERS' SALARY TO REACH ITS OPINION. 15 (B) COMPENSATION FOR THE OTHER OFFICERS (NOT DISCLOSED ABOVE) AND KEY EMPLOYERS IS BASED ON A VARIETY OF SOURCES WHICH INCLUDE THIRD PARTY COMPENSATION SURVEYS AND STUDIES, THE ORGANIZATION'S HISTORICAL SALARY RATES, OTHER COMPENSATION WITHIN THE ORGANIZATION FOR SIMILAR TITLES AND POSITIONS, AND THE CURRENT LABOR MARKET. ALL SALARIES FOR EMPLOYEES MUST BE APPROVED BY THE CHIEF EXECUTIVE OFFICER AND/OR THE CHIEF OPERATING OFFICER AND THE VICE PRESIDENT OF HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE PUBLIC CAN OBTAIN A COPY OF THE 990 OR THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS VIA A WRITTEN OR VERBAL REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. THE BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY OF THE SOUTH NASSAU COMMUNITIES HOSPITAL AFFILIATES CAN BE OBTAINED AT MANAGEMENT'S DISCRETION VIA A WRITTEN REQUEST THROUGH THE HOSPITAL'S OFFICE OF EXTERNAL AFFAIRS, 2277 GRAND AVE., BALDWIN, NY 11510. PHONE NUMBER: (516) 377-5370. FORM 990, PART XI, LINE 9: TRANSFER FROM RELATED PARTIES -3,305,244. ROUNDING -523. PART XII, LINE 2C: SOUTH NASSAU COMMUNITIES HOSPITAL, THE PARENT OF THESE ORGANIZATIONS, RECEIVED A COMBINED AUDITED FINANCIAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2023. THE COMBINED FINANCIAL STATEMENTS ARE PREPARED IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA ("GAAP"). THE COMBINED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF SOUTH NASSAU COMMUNITIES HOSPITAL AND ALL OF ITS AFFILIATE ORGANIZATIONS WHICH IN SOME CASES FILE SEPARATE RETURNS WITH THE IRS. FORM 990, PAGE 1, BOX H THE HOSPITAL AND GROUP AFFILIATED ORGANIZATIONS ARE SECTION 501(C)(3) ORGANIZATIONS. THE ORGANIZATIONS ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AND THEIR INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR NEW YORK STATE INCOME TAXES. SN HEALTHCARE AND SOUTH NASSAU SN, LLC ARE TAXABLE ENTITIES, WHICH ARE NOT INCLUDED IN THE GROUP RETURN. SIBS PLACE, INC. IS ALSO NOT INCLUDED IN THE GROUP RETURN AND FILE SEPARATE FEDERAL FORMS 990. AFFILIATES INCLUDED IN GROUP RETURN SUBORDINATE ORGANIZATIONS OF SOUTH NASSAU COMMUNITIES HOSPITAL (EIN: 27-2843521) GROUP EXEMPTION NUMBER 5611: RADIOLOGICAL ASSOCIATES OF LONG ISLAND, P.C., - EIN: 11-2462030 SN SERVICES CORPORATION, - EIN: 11-2727976 SOUTH NASSAU NEONATAL SERVICES, P.C., - EIN: 11-3319620 SOUTH NASSAU FAMILY MEDICINE, P.C., - EIN: 11-3565450 SOUTH NASSAU PRIMARY MEDICAL CARE, P.C., - EIN: 11-3581988 OCEANSIDE COUNSELING CENTER -EIN: 23-7062966 SOUTH NASSAU PHYSICIAN PRACTICE, P.C., - EIN: 26-2692377 SOUTH NASSAU ONCOLOGY, P.C., - EIN: 27-3857309 203 MERRICK ROAD HOLDING CORP, - EIN: 27-5368294 SOUTH NASSAU CARDIOVASCULAR PRACTICE, P.C., - EIN: 38-3843950 SOUTH NASSAU MEDICAL GROUP, P.C., - EIN: 45-4799159 SOUTH NASSAU OBSTETRICS AND GYNECOLOGY, P.C., - EIN: 45-5272144 SOUTH NASSAU ONCOLOGY PRACTICE, P.C., - EIN: 46-2905667 SNCH COMMUNITY DEVELOPMENT CORPORATION - EIN: 47-1303599 SOUTH NASSAU PHYSICIANS, P.C., - EIN: 47-1545515 SOUTH NASSAU PHYSICIAN GROUP, PC, - EIN: 47-4961193 SOUTH NASSAU UROLOGY, P.C. - EIN: 47-5071498 SOUTH NASSAU RADIOLOGY PC - EIN: 45-4799159 FORM 990 PART VI, LINE 13 THE AFFILIATES OF SOUTH NASSAU COMMUNITIES HOSPITAL OPERATE UNDER THE WRITTEN WHISTLE BLOWER AND DOCUMENT RETENTION POLICIES OF ITS PARENT ORGANIZATION, SOUTH NASSAU COMMUNITIES HOSPITAL. SIBS PLACE INC 510 MERRICK ROAD ROCKVILLE CENTRE NY 11570 813485876 SUPPORT PROGRAM NY 501(C)(3) 7 MSSN 0 MOUNT SINAI HOSPITALS GROUP INC ONE GUSTAVE L LEVY PLACE BOX 1099 NEW YORK NY 10029 464242915 HOLDING COMPANY NY 501(C)(3) 12B, II MSHS 0 THE MOUNT SINAI MEDICAL CENTER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136271888 SUPPORT NY 501(C)(3) 12B, II MSHS 0 MITRAL FOUNDATION 1190 FIFTH AVENUE NEW YORK NY 10029 800468600 RESEARCH NY 501(C)(3) 12A, I ISMMS 0 THE MOUNT SINAI CHILDREN'S CENTER FND ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 223059294 SUPPORT NY 501(C)(3) 12A, I ISMMS 0 MSMC REALTY CORPORATION ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 133852596 REAL ESTATE NY 501(C)(3) 12A, I SEE PART VII 0 MSMC RESIDENTIAL REALTY LLC 1425 MADISON AVENUE NEW YORK NY 10029 200244426 REAL ESTATE NY 501(C)(3) 12A, I SEE PART VII 0 MSMC RESIDENTIAL REALTY MANAGER INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 201289396 MGMT NY 501(C)(3) 12A, I SEE PART VII 0 VALENTIN FUSTER MT SINAI FND SCI HLTH ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 800952088 SUPPORT PROGRAM NY 501(C)(3) 12A, I ISSMS & MSH 0 MOUNT SINAI HEALTH SYSTEM INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 464248304 HOLDING COMPANY NY 501(C)(3) 12A, I N/A 0 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 136171197 SCHOOL NY 501(C)(3) 2 MSHS 0 CONTINUUM HEALTH PARTNERS INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133939476 HOLDING COMPANY NY 501(C)(3) 12A, I N/A 0 BIMC HOLDING CORPORATION FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 133444730 HOLDING COMPANY NY 501(C)(3) 12A, I BIMC 0 MOUNT SINAI AMBULATORY VENTURES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133838460 SURGICENTER NY 501(C)(3) 3 BIMC HOLD CO 0 BI NURSING HOME COMPANY 327 EAST 17TH STREET NEW YORK NY 10003 133627753 NURSING HOME NY 501(C)(3) 3 BIMC HOLD CO 0 EAST 17TH STREET PROPERTIES INC 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 133547502 REAL ESTATE NY 501(C)(3) 9 BIMC HOLD CO 0 THE LONG ISLAND COLLEGE HOSPITAL 150 EAST 42ND STREET 5TH FL NEW YORK NY 10019 111018985 HOSPITAL NY 501(C)(3) 3 CHP 0 ST LUKE'S-ROOSEVELT HOSPITAL CENTER 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132997301 HOSPITAL NY 501(C)(3) 3 MSHG 0 AUGUSTUS & JAMES CORPORATION 150 EAST 42ND STREET5TH FLOOR NEW YORK NY 10019 133392851 REAL ESTATE NY 501(C)(3) 12A, I SLR 0 ST LUKE'S-ROOSEVELT INSTITUTE FOR HEALTH 1111 AMSTERDAM AVENUE NEW YORK NY 10025 132914343 RESEARCH NY 501(C)(3) 4 SLR 0 NEW YORK EYE AND EAR INFIRMARY 310 EAST 14TH STREET NEW YORK NY 10003 135562304 HOSPITAL NY 501(C)(3) 3 MSHG 0 NEW YORK EYE & EAR INFIRMARY FNDN 310 EAST 14TH STREET NEW YORK NY 10003 134012469 PRIVATE FDN NY 501(C)(3) PF NYEE 0 NYEEI HOUSING COMPANY INC 317-327 EAST 13TH STREET NEW YORK NY 10003 311696826 REAL ESTATE NY 501(C)(3) NA NYEE 0 BETH ISRAEL MEDICAL CENTER FDN INC 150 EAST 42ND STREET 5TH FLOO NEW YORK NY 10019 300571387 FUNDRAISING NY 501(C)(3) 7 BIMC 0 ST LUKE'S-ROOSEVELT HOSPITAL CENTER FDN 150 EAST 42ND STREET 5TH FLOO NEW YORK NY 10019 300571390 FUNDRAISING NY 501(C)(3) 7 SLR 0 BETH ISRAEL MEDICAL CENTER FIRST AVENUE AT 16TH STREET NEW YORK NY 10003 135564934 HOSPITAL NY 501(C)(3) 3 MSHG 0 MOUNT SINAI HEALTH PARTNERS PC 150E 42ND STREET 5TH FLOOR NEW YORK NY 10017 812057452 HEALTHCARE NY 501(C)(3) 10 MSH 0 THE MOUNT SINAI HOSPITAL ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 131624096 HOSPITAL NY 501(C)(3) 3 HSHG 0 SOUTH NASSAU UNIVERSITY HEALTH SYSTEM ONE HUNTINGTON QUADRANGLE MELVILLE NY 11747 066427908 DELIVERY CARE NY 501(C)(3) 11 MSSN 0 MOUNT SINAI DIAG & TREATMENT CENTER ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 450537391 DIAG CLINIC NY 501(C)(3) 3 MSHG 0 MOUNT SINAI HEALTH SYSYEM SELF INSURANCE 150E 42ND STREET NEW YORK NY 10017 823994798 SUPPORT NY 501(C)(3) 12B, II MSHG 0 EAST 98TH STREET COMMUNITY SERVICE INC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 822536805 AMB SURG CENTER NY 501(C)(3) 3 MSHG 0 BACHMAN-STAUSS DYSTONIA FOUNDATION INC 150E 42ND STREET NEW YORK NY 10017 133804248 FUNDRAISING NY 501(C)(3) 7 MSHG 0 CARE CONTINUUM VENTURESINC ONE GUSTAVE L LEVY PLACE NEW YORK NY 10029 863155355 SUPPORT NY 501(C)(3) 12B, II MSHG 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI R 10106853 CASH BASIS THE MOUNT SINAI HOSPITAL Q 4820721 CASH BASIS THE MOUNT SINAI HOSPITAL C 20000000 CASH BASIS MSMC REALTY CORPORATION DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MOUNT SINAI MEDICAL CENTER ARE ALL MEMBERS OF THIS ENTITY. MSMC RESIDENTIAL REALTY LLC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL, THE MSMC REALTY CORPORATION AND THE MSMC RESIDENTIAL REALTY MANAGER, INC. ARE ALL MEMBERS OF THIS ENTITY. MSMC RESIDENTIAL REALTY MANAGER, INC DIRECT CONTROLLING ENTITY ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI, THE MOUNT SINAI HOSPITAL AND THE MSMC REALTY CORPORATION ARE ALL MEMBERS OF THIS ENTITY.